|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$17.92 |
$33.12 |
$72.28 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$27.06 |
$91.08 |
$218.40 |
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$28.60 |
$53.28 |
$110.76 |
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$22.89 |
$46.80 |
$224.10 |
|
|
Ot training self care/home management direct contact each 15 minutes
|
$18.04 |
$53.28 |
$111.80 |
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$91.93 |
$177.21 |
$616.38 |
|
|
Oxaliplatin 5 mg/ml desensitization
|
$396.02 |
$455.42 |
$792.03 |
|
|
Oxytocin 10 unit/ml injection solution
|
$74.92 |
$89.91 |
$299.70 |
|
|
P-32 sod phosphate ther per mci
|
$228.95 |
$274.74 |
$595.26 |
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$71.76 |
$86.11 |
$287.04 |
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$799.85 |
$999.81 |
$3,199.39 |
|
|
Palingen or promatrx
|
$415.00 |
$477.25 |
$518.75 |
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$141.97 |
$171.02 |
$594.84 |
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$8.84 |
$11.05 |
$40.00 |
|
|
Papaverin hcl injection
|
$57.46 |
$68.95 |
$229.85 |
|
|
Parathormone (pth) intact
|
$43.56 |
$128.88 |
$247.50 |
|
|
Parathyrd planar w/spect&ct
|
$377.60 |
$434.24 |
$472.00 |
|
|
Parathyroid planar imaging
|
$138.82 |
$373.80 |
$784.98 |
|
|
Parathyroid planar img w/tomo spect
|
$208.12 |
$327.75 |
$784.98 |
|
|
Paricalcitol
|
$11.11 |
$13.33 |
$40.00 |
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$47.20 |
$115.28 |
$209.60 |
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$1,041.60 |
$1,041.60 |
$1,041.60 |
|
|
Partial hip replacement
|
$1,741.44 |
$1,741.44 |
$1,741.44 |
|
|
Partial removal finger bone
|
$706.40 |
$706.40 |
$706.40 |
|
|
Partial removal foot fascia
|
$1,854.93 |
$1,854.93 |
$1,854.93 |
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$2.80 |
$2.80 |
$2.80 |
|
|
Pca3/klk3 antigen
|
$220.80 |
$220.80 |
$220.80 |
|
|
Pdgfra gene
|
$174.93 |
$174.93 |
$174.93 |
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$16,019.31 |
$16,019.31 |
$16,019.31 |
|
|
Pelvic CT scan (with and without contrast)
|
$900.80 |
$1,024.59 |
$1,213.75 |
|
|
Pelvic CT scan (with contrast)
|
$286.88 |
$934.32 |
$1,043.50 |
|
|
Pelvic CT scan (without contrast)
|
$239.80 |
$852.61 |
$1,518.92 |
|
|
Pelvic MRI (with and without contrast)
|
$354.42 |
$1,434.80 |
$2,131.65 |
|
|
Pelvic MRI (with contrast)
|
$809.41 |
$1,089.51 |
$1,818.45 |
|
|
Pelvic MRI (without contrast)
|
$313.50 |
$910.75 |
$1,364.79 |
|
|
Pelvic Ultrasound (complete)
|
$175.34 |
$261.25 |
$318.80 |
|
|
Pelvic Ultrasound (limited)
|
$70.84 |
$159.75 |
$331.76 |
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$2,376.09 |
$2,970.11 |
$9,504.36 |
|
|
Pemivibart infusion
|
$280.80 |
$315.90 |
$561.60 |
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,096.22 |
$1,096.22 |
$1,096.22 |
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$161.94 |
$194.33 |
$647.77 |
|
|
Penicillin g procaine inj
|
$174.34 |
$174.34 |
$174.34 |
|
|
Penile injection
|
$62.80 |
$78.50 |
$154.14 |
|
|
Penile rear tip xtnd 0.5cm
|
$3,675.00 |
$3,675.00 |
$3,675.00 |
|
|
Penile vascular study
|
$77.44 |
$103.53 |
$291.00 |
|
|
Pentobarbital sodium inj
|
$5,203.75 |
$6,244.50 |
$20,815.00 |
|
|
Perc cryo ablate renal tum
|
$2,334.20 |
$2,450.91 |
$5,243.60 |
|
|
Perc d-e cor revasc chro add
|
$6,994.99 |
$10,560.60 |
$13,200.75 |
|
|
Perc d-e cor revasc chro sin
|
$290.69 |
$4,506.18 |
$13,524.50 |
|
|
Perc d-e cor revasc t cabg b
|
$6,639.64 |
$10,560.60 |
$13,200.75 |
|
|
Perc d-e cor revasc t cabg s
|
$5,019.42 |
$6,939.10 |
$13,524.50 |
|
|
Perc d-e cor stent ather br
|
$12,449.00 |
$14,316.35 |
$15,561.25 |
|
|
Perc d-e cor stent ather s
|
$5,909.42 |
$10,744.40 |
$16,022.25 |
|
|
Perc drug-el cor stent bran
|
$2,516.80 |
$5,911.29 |
$12,572.50 |
|
|
Perc drug-el cor stent sing
|
$5,034.48 |
$6,939.10 |
$13,524.50 |
|
|
Perc rf ablate renal tumor
|
$2,218.20 |
$2,329.11 |
$5,654.40 |
|
|
Percut ablate liver rf
|
$2,602.40 |
$2,602.40 |
$5,654.40 |
|
|
Pericardial drain w/cath pq w/ct guid
|
$479.01 |
$499.60 |
$850.08 |
|
|
Pericardiocentesis wwo imaging
|
$452.98 |
$769.98 |
$850.08 |
|
|
Peri-implt capslc brst compl
|
$512.00 |
$512.00 |
$512.00 |
|
|
Peripheral vascular rehab
|
$23.94 |
$59.52 |
$136.00 |
|
|
Peri-proc device eval icd
|
$28.20 |
$29.61 |
$32.43 |
|
|
Peri-proc device eval pm
|
$28.20 |
$29.61 |
$35.25 |
|
|
Peritoneal cath sub q resv per
|
$2,983.00 |
$3,579.60 |
$7,755.80 |
|
|
Peritoneogram rs&i
|
$228.40 |
$270.02 |
$279.00 |
|
|
Perit-vens shunt pat tst
|
$183.60 |
$183.60 |
$183.60 |
|
|
Perq art m-thrombect &/nfs
|
$3,614.40 |
$3,614.40 |
$3,614.40 |
|
|
Perq clsr tcat l atr apndge
|
$6,579.80 |
$7,235.58 |
$13,155.60 |
|
|
Perq dev breast 1st mr guide
|
$669.76 |
$698.88 |
$1,152.00 |
|
|
Perq dev breast 1st strtctc
|
$506.52 |
$602.83 |
$655.25 |
|
|
Perq nl/pl lithotrp smpl<2cm
|
$2,613.72 |
$2,613.72 |
$2,657.97 |
|
|
Perq p-art revsc 1 abnor bi
|
$10,030.00 |
$10,531.50 |
$12,537.50 |
|
|
Perq p-art revsc 1 abnor uni
|
$6,198.20 |
$6,508.11 |
$7,747.75 |
|
|
Perq p-art revsc 1 nm nt bi
|
$6,198.20 |
$6,508.11 |
$7,747.75 |
|
|
Perq p-art revsc 1 nm nt uni
|
$6,198.20 |
$6,508.11 |
$7,747.75 |
|
|
Perq p-art revsc each addl
|
$3,099.40 |
$3,254.37 |
$3,874.25 |
|
|
Perq plmt bile duct stent
|
$1,890.60 |
$2,363.25 |
$5,243.60 |
|
|
Perq plmt bile duct stent
|
$1,890.60 |
$2,174.19 |
$2,363.25 |
|
|
Perq plmt bile duct stent
|
$1,890.60 |
$2,363.25 |
$5,243.60 |
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$152.04 |
$183.60 |
$677.04 |
|
|
Perq skel fix ulnar styld fx
|
$574.40 |
$574.40 |
$574.40 |
|
|
Perqt bx lung/mediastinum 32405
|
$303.20 |
$348.68 |
$379.00 |
|
|
Perq transcath closure each
|
$70.80 |
$70.80 |
$5,646.90 |
|
|
Perq transcath closure pda
|
$6,908.40 |
$7,775.15 |
$8,185.00 |
|
|
Perq transcath cls aortic
|
$11,294.64 |
$11,294.64 |
$11,294.64 |
|
|
Perq transcath cls mitral
|
$11,294.64 |
$11,294.64 |
$11,294.64 |
|
|
Perq transcath septal reduxn
|
$6,738.80 |
$7,075.74 |
$8,423.50 |
|
|
Perq tx big toe fracture w/manip 28496
|
$441.60 |
$441.60 |
$441.60 |
|
|
Pertussis ag if
|
$27.37 |
$32.40 |
$38.88 |
|
|
Pet CT skull-mid thgh initial
|
$1,801.80 |
$2,843.03 |
$3,276.00 |
|
|
Pet CT whole body initial
|
$1,801.80 |
$2,843.03 |
$3,276.00 |
|
|
Pet fdg brain metoblic eval sb
|
$2,300.00 |
$2,628.24 |
$2,843.03 |
|
|
Pet image full body
|
$2,875.00 |
$2,875.00 |
$2,875.00 |
|
|
Pet image ltd area
|
$1,840.69 |
$1,920.72 |
$2,875.00 |
|
|
Pet image skull-thigh
|
$1,840.69 |
$2,300.00 |
$2,875.00 |
|
|
Pet not otherwise specified
|
$2,300.00 |
$2,300.00 |
$2,760.00 |
|
|
Pet scan brain perf study
|
$2,628.24 |
$2,628.24 |
$2,628.24 |
|
|
Pfc sigma fem post aug sz3 8mm
|
$1,259.00 |
$1,259.00 |
$2,323.92 |
|
|
Ph body fluid
|
$5.20 |
$26.24 |
$52.80 |
|
|
Phencyclidine (pcp)
|
$64.20 |
$73.83 |
$166.92 |
|